Latest reports, citations, and penalties from CMS data
The facility's failure to implement these systems left vulnerable residents without adequate protection....
This regulatory gap occurred when the previous interim administrator's licensing and contract renewal plans fell through in late December....
One resident, identified as R348 in the report, had functional abilities that were completely omitted from their care plan....
When this system breaks down, it creates a cascade effect that can impact multiple areas of resident care and safety....
This designation requires immediate corrective action and can result in severe penalties, including termination from Medicare and Medicaid programs....
Three critical errors were observed during just 28 medication administration opportunities....
The violations centered on how laundry staff handled clean clothing and linens throughout the facility....
This resident's experience illustrates the broader impact of inadequate activities programming on daily life in the facility....
Despite multiple nurses assessing the resident's condition, crucial details were omitted from medical records....
Inspectors observed staff members failing to follow basic sanitization protocols during routine medical procedures....
During the inspection, a registered nurse was observed providing wound care to a resident who required enhanced barrier precautions due to a urinary catheter....
Staff must assess for "thrill and bruit" - the vibration and sound that indicate proper blood flow through the access site....
The facility's own assessment indicated a need for 12-18 nursing assistants per day to properly care for an average census of 109 residents....
This represents a breakdown in the facility's incident reporting protocols and staff training regarding what constitutes reportable events....
This admission highlighted both awareness of proper protocols and a breakdown in their implementation....
Proper bathing practices in long-term care facilities serve multiple medical purposes beyond basic cleanliness....
Inspectors found that staff at the 307 N Franks Avenue facility consistently failed to follow established cleaning protocols for these life-sustaining devices....
## Serious Medication Security Violations The most concerning findings involved **medication cart security breaches** throughout the facility....
The bathing schedule showed concerning gaps, including the entire month of August 2024 and January 2025 when no showers were documented at all....
The violation, classified under F600 - Abuse, Neglect, and Misappropriation, specifically addresses tag 5609 concerning abuse reporting requirements....